48
Grade C

Patient Fusion Terms of Service

Practice Fusion Portal (Veradigm) | Last reviewed: January 2026

DOJ Settlement History: Practice Fusion paid $145 million in 2020 to resolve allegations it accepted kickbacks from opioid manufacturers to influence prescribing through its EHR system. While this primarily affected providers, it raises questions about the company's priorities.

Overview

Patient Fusion is the patient portal for Practice Fusion, a free cloud-based EHR now owned by Veradigm (formerly Allscripts). The "free" model for providers means the business is sustained through data monetization and pharmaceutical advertising, creating inherent conflicts of interest.

Key Terms Concerns

Free Model Data Implications

When the EHR is free for providers, patient data becomes the product. Terms permit extensive data use for analytics, research, and commercial purposes that go beyond typical patient portals.

Corporate Ownership Changes

Practice Fusion was acquired by Veradigm (Allscripts) after regulatory issues. Corporate transitions can affect data handling, terms, and long-term platform stability.

Advertising in Healthcare Context

The platform historically included pharmaceutical advertising within clinical workflows. While restricted after the DOJ settlement, the advertising-supported model influences the overall approach to patient data.

Limited Portal Features

Patient Fusion offers fewer features than premium EHR patient portals. Your ability to access complete records, communicate with providers, or export data may be more limited.

Positive Aspects

HIPAA Still Applies

Despite the business model concerns, HIPAA protections remain in effect. Your health information has baseline legal protections regardless of how the platform is monetized.

Post-Settlement Improvements

Following the DOJ settlement, Practice Fusion made changes to clinical decision support and advertising practices. Some of the worst historical practices have been addressed.

Understanding the Business Model

What "free EHR" means for patients:

  • Provider pays nothing, so other revenue sources needed
  • De-identified data sold to researchers and pharma
  • Analytics products built on aggregated patient data
  • Historical advertising to providers within clinical context
  • You can't choose a different portal for that provider